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Genetic intratumour heterogeneity in high-grade brain tumours is associated with telomere-dependent mitotic instability
C. Glanz*†, J. Rebetz*†‡, Y. Stewénius§, A. Persson, E. Englund, N. Mandahl§, F. Mertens§,L. G. Salford*, B. Widegren*†‡, X. Fan*†,†† and D. Gisselsson§¶
  *The Rausing Laboratory, Division of Neurosurgery,   §Department of Clinical Genetics and   Department of Pathology, Lund University Hospital, SE-221 85 Lund,   Section of Immunology, Department of Experimental Medical Science and   Department of Cell and Molecular Biology, Lund University, SE-221 84 Lund and   ††Section of Molecular Medicine and Gene Therapy, Strategic Research Center for Stem Cell Biology and Cell Therapy, Lund University, SE-221 84 Lund, Sweden
Correspondence to  David Gisselsson, Department of Clinical Genetics, Lund University Hospital, SE-221 85 Lund, Sweden. Tel: +46 46 175867; Fax: +46 46 131062; E-mail: david.gisselsson@med.lu.se

 D.G. and X.F. contributed equally to this work.

Copyright 2007 Blackwell Publishing Ltd
KEYWORDS
anaphase bridge • clonal evolution • genomic instability • glioblastoma multiforme • telomere • xenograft
C. Glanz, J. Rebetz, Y. Stewénius, A. Persson, E. Englund, N. Mandahl, F. Mertens, L. G. Salford, B. Widegren, X. Fan and D. Gisselsson (2007) Neuropathology and Applied Neurobiology33, 440–454
Genetic intratumour heterogeneity in high-grade brain tumours is associated with telomere-dependent mitotic instability

ABSTRACT

Glioblastoma multiforme (GBM) and other high-grade brain tumours are typically characterized by complex chromosome abnormalities and extensive intratumour cytogenetic heterogeneity. The mechanisms behind this diversity have been little explored. In this study, we analysed the pattern of chromosome segregation at mitosis in 20 brain tumours. We found an abnormal segregation of chromatids at mitosis through anaphase bridging (10–25% of anaphase cells) in all 10 GBMs. Anaphase bridging was also found in two medulloblastomas (7–15%), one anaplastic astrocytoma (17%) and one oligodendroglioma (6%). These tumours showed a relatively high degree of cytogenetic complexity and heterogeneity. In contrast, cell division abnormalities were not found in low-grade brain tumours with less complex karyotypes, including two pilocytic astrocytomas and two ependymomas. Further analysis of two GBMs by fluorescence in situ hybridization with telomeric repeat probes revealed excessive shortening of TTAGGG repeats, indicating dysfunctional protection of chromosome ends. In xenografts established from these GBMs, there was a gradual reduction in cytogenetic heterogeneity through successive passages as the proportion of abnormally short telomeres was reduced and the frequency of anaphase bridges decreased from >25% to 0. However, bridging could be reintroduced in late-passage xenograft cells by pharmacological induction of telomere shortening, using a small-molecule telomerase inhibitor. Telomere-dependent abnormal segregation of chromosomes at mitosis is thus a common phenomenon in high-grade brain tumours and may be one important factor behind cytogenetic intratumour diversity in GBM.


Received 12 September 2006
Accepted after revision 18 December 2006

DIGITAL OBJECT IDENTIFIER (DOI)
10.1111/j.1365-2990.2007.00832.x About DOI

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